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20 Jun 2007 : Column 1922Wcontinued
giving all applicants in England at least one interview;
making technical enhancements to MTAS;
improving the helpdesk;
improving the business processes within deaneries;
establishing a deanery based process for matching applicants to training posts in Round 1, and
that Round 2 should be managed locally.
After the security breaches in April we changed the way MTAS was used. Once a full security review deemed the MTAS site to be secure, it was re-opened on 4 May and restricted to postgraduate deaneries
only, to support the next steps in the recruitment process. The system will continue to be used for national monitoring to ensure that training post are filled efficiently.
Dr. Gibson: To ask the Secretary of State for Health how many applicants for ST1-4 positions were appointed to such positions through the late application process in the latest period for which figures are available. 
Mr. Ivan Lewis: This information is not collected centrally because we have not separately identified those applications that were part of the late application process.
David T.C. Davies: To ask the Secretary of State for Health how many secure places for psychiatric patients there are in hospitals in England. 
Ms Rosie Winterton: The data collected records the numbers of mental health and learning disability secure unit beds in national health service units, not the numbers of psychiatric secure unit beds.
In 2005-06 (the latest period for which figures are available), there was an average daily number of 2,807 mental illness secure unit beds, and 526 learning disability secure unit beds in NHS units in England.
The source for these figures is the Department of Health Dataset KH03 and the definitions for the purposes of this collection are as follows.
These figures do not represent the full level of secure services available to the NHS. Low secure mental health services are not consistently defined and may well fall outside the following definitions. This means that the aforementioned figures mainly show the numbers in high and medium secure mental health services in NHS units. These figures also only show NHS beds and not those commissioned by the NHS and provided by independent sector providers.
The definitions of mental health and Learning Disability Secure Unit Beds, for the purposes of the KH03 annual beds collection, are:
Mental illness - other ages, secure unit
an age group intended of National Code 8 Any age, a broad patient group code of National Code 5 Patients with mental illness and a clinical care intensity of National Code 51 for intensive care: specially designated ward for patients needing containment and more intensive management This is not to be confused with intensive nursing where a patient may require one to one nursing while on a standard ward.
Learning disabilities Other ages, Secure unit
an age group intended of National Code 8 Any age, a Broad Patient Group Code of National Code 6 Patients with learning difficulties and a clinical care intensity of National Code 61 designated or interim secure unit.
Mr. Doran: To ask the Secretary of State for Health what estimate she has made of the likely cost per patient of providing the drug Alimta (Pemetrexed). 
Andy Burnham: During the course of its appraisal of Alimta for malignant plural mesothelioma, the National Institute for Health and Clinical Excellence estimated the average cost of treatment at around £8,000 per patient, assuming five treatment cycles and based on the drugs published list price.
We have made no separate assessment.
Mr. Doran: To ask the Secretary of State for Health what budget has been allocated by the National Institute for Health and Clinical Excellence for its appraisal of the drug Alimta (Pemetrexed). 
Caroline Flint: The National Institute for Health and Clinical Excellence (NICE) does not allocate specific budgets for the conduct of individual appraisals. NICEs business plan for 2007-08 indicates that it has allocated around £3.3 million to its Centre for Health Technology Evaluation in the current financial year. In addition, NICEs appraisal work is supported by the National Health Service Health Technology Assessment programme, which is funded separately by the Department.
Mr. Hancock: To ask the Secretary of State for Health what the average annual cost was to the public purse of training a midwifery student in each year since 1997. 
Ms Rosie Winterton: The estimated average tuition costs for training midwifery students in each year since 1997-98 are shown in the following table, although the data collected have been based on different methodologies, therefore making comparisons difficult.
|Average midwifery tuition costs from 1997-98 to 2007-08|
|Financial year||Average midwifery tuition costs (£)|
|(1) 1997-98 and 1998-99 figures are calculated using estimated bursary rates.|
(2) 1997-98, 2004-05 and 2005-06 are forecasts (actual outturn was only collected from 1999 onwards and the last data collected was in November 2004 covering 2003-04 outturn).
(3) 2006-07 and 2007-08 figures are taken from the Benchmark Price .
In addition to tuition costs, midwifery trainees are entitled to either a bursary or salary support funding. The bursaries in 2007-08 outside London are £6,372 for diploma students and £2,231 for degree students.
Students may be entitled to other payments such as allowances for dependant children and the cost of national health service employees seconded onto midwifery training programmes will include a proportion of their salary costs.
Mr. Frank Field: To ask the Secretary of State for Health how much has been spent on midwifery training in each year since 1997; and how many students who qualified in each year are employed as midwives. 
Ms Rosie Winterton [holding answer 12 June 2007]: The total cost of training student midwives for each year since 1997 is set out in the following table.
|Total cost of training student midwives for each year since 1997|
|Financial year||Total cost (£ million)|
1. 1997-98, 2004-05 and 2005-06 are estimates (actual outturn was only collected from 1998-99 onwards). No data is available for 2006-07.
2. Data in the above time series is not strictly comparable due to changes in the way data was collected.
3. Average bursary costs for nurses and midwives added to tuition costs from 2000-01 onwards.
4. The Department does not collect centrally the number of students who qualified as midwives in each of these years.
Sandra Gidley: To ask the Secretary of State for Health what outcomes data underpins the musculoskeletal system problems (excluding trauma) category of the National Programme Budgeting Database; what proportion of expenditure in the category is covered by those outcomes; and whether additional outcome measures for musculoskeletal system problems are planned. 
Andy Burnham: At present, no health outcomes data are provided in the musculoskeletal system problems section of the programme budgeting database. Two potential outcomes measures are under consideration for this programme: death within 30 days of admission and emergency readmission to hospital within 28 days of discharge.
Dr. Kumar: To ask the Secretary of State for Health (1) how many patients suffering from myalgic encephalomyelitis were referred to treatment centres in other areas of the UK by primary care trusts on Teesside in the last 12 months; 
(2) what specialist services are provided by primary care trusts on Teesside for people suffering from myalgic encephalomyelitis; 
(3) what assessment she has made of the adequacy of services for myalgic encephalomyelitis sufferer in Teesside. 
Mr. Ivan Lewis: Information on the number of patients suffering from myalgic encephalomyelitis (ME) that were referred to treatment centres in other areas of the United Kingdom is not collected centrally.
It is the responsibility of local primary care trusts to commission services, including chronic fatigue syndrome/ME services, according to the health needs of their populations and taking into account the resources available. It is for strategic health authorities to performance manage and ensure the development of well planned, good quality health services that meet the needs of local people.
Mr. Lansley: To ask the Secretary of State for Health how much funding was provided to the NHS Alliance from (a) her Departments budget and (b) the NHS budget in each financial year since 1997-98. 
Andy Burnham: I refer the hon. Member to the answer given on 18 June 2007, Official Report, column 156W.
Tim Loughton: To ask the Secretary of State for Health on which projects the Government is co-operating with the NHS Confederation. 
Ms Rosie Winterton [holding answer 5 February 2007]: The Department has a wide range of contacts with the NHS Confederation as a major stakeholder in the development of the national health service and NHS policy.
The Department has a contract with NHS Employers, which is part of the NHS Confederation, to provide employers organisation services such as pay negotiations for NHS staff and the provision of guidance and support on good employment practice.
Mr. Scott: To ask the Secretary of State for Health how many (a) doctors and (b) other medical staff from the NHS are currently serving in the armed forces. 
Derek Twigg: I have been asked to reply.
As of the 12 June 2007 there were 15 doctors and 59 other medical staff from the NHS who are also members of our reserve forces and mobilised.
Mr. Lansley: To ask the Secretary of State for Health what the estimated cost to the NHS is expected to be of implementing agenda for change in each of the years to 2011-12. 
Ms Rosie Winterton: The estimated cost to the national health service of implementing agenda for change in each of the years up to 2007-08 is:
Estimates beyond 2007-08 are not available at present.
Dr. Kumar: To ask the Secretary of State for Health what percentage of funding for the NHS was spent on staff whose roles do not involve providing care for patients in the latest period for which figures are available. 
Ms Rosie Winterton: The information is not collected in the format requested. However, it is possible to illustrate the total amount spent on the pay of non-clinical national health service staff as a percentage of the total NHS budget. The total pay bill for non-clinical staff in 2005-06 (the latest year for which we have data) was £6,824 million which was 9.3 per cent. of the total NHS net spend of £73,677 billion for that year.
Sarah Teather: To ask the Secretary of State for Health how many patients used NHS homeopathic services in each primary care trust in each year since 1997. 
Caroline Flint: This information is not collected centrally as the Government consider that decision-making on individual clinical interventions, whether conventional, or complementary/alternative treatments, have to be a matter for local national health service providers and practitioners as they are best placed to know their communitys needs. In making such decisions, they have to take into account evidence for the safety, clinical and cost-effectiveness of any treatments, the availability of suitably qualified practitioners, and the needs of the individual patient.
The Department recognises that the health needs of a community can differ from area to area and primary care trusts would reflect these needs in developing policies on the commissioning and funding of any treatments or services.
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